Eleanor Kathryn McKenzie, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

00933 Issued in GA

Practice address

4484 Covington Hwy Ste 100a
Decatur, GA 30035-1203

Phone

(404) 286-0054

NPI assigned

Mar 15, 2012

Last updated

Mar 15, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1331769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331769600000",
    "number": "1114292612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3589 COLUMBIA PKWY",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300343323",
            "telephone_number": "404-284-2528",
            "fax_number": "404-284-2528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4484 COVINGTON HWY STE 100A",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300351203",
            "telephone_number": "404-286-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "ELEANOR",
        "middle_name": "KATHRYN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-15",
        "last_updated": "2012-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "00933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROFESSIONAL COUNSELOR",
            "identifier": "00933",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shapphira McIntosh
• William J McIntosh, PHD
• Contance Jean McKee, MD
• Tequila McKeiver
• Pauline Ann McKenzie-Day, M.S., LPC
• James Louis McKenzie
• Nicole Marie McKibben, RDN
• Thomas Johnson McKinnon III, PHMNP
• Ryan Cale McLaughlin, MD
• Aleta McLean, LPC

• Professional Counselor in Decatur, GA
• Providers in Decatur, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.